Individual
DR. KEITH M GIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS MAGD
Contact information
Practice address
14 WOODGATE DR, BRANDON, MS 39042-2217
(601) 825-3368
(601) 825-7401
Mailing address
14 WOODGATE DR, BRANDON, MS 39042-2217
(601) 825-3368
(601) 825-7401
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1751-77
MS
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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